	<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
	<html lang="zh-CN">
	<head>
	    <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
	    <%@ page import="java.util.Date"%>
	    <% String formId = "form_" + new Date().getTime();
	   String gridId = "grid_" + new Date().getTime();
	   String path = request.getContextPath()+request.getServletPath().substring(0,request.getServletPath().lastIndexOf("/")+1);
	%>
	</head>
	<body>
	<form class="form-horizontal" id=<%=formId%> target="_self">
		
		<div class="form-group">
			<label class="col-lg-3 control-label">版本编码:</label>
			<div class="col-lg-9">
				<input name="verCode" style="display:inline; width:80%;" class="form-control"  type="text"  id="verCodeIDUpdate" dataType="Require" readonly="readonly"/>
				
			</div>
		</div>
		<div class="form-group">
			<label class="col-lg-3 control-label">版本描述:</label>
			<div class="col-lg-9">
				<input name="verDesc" style="display:inline; width:80%;" class="form-control"  type="text"  id="verDescIDUpdate" dataType="Require" />
				
			</div>
		</div>
		<div class="form-group">
	    	<label class="col-lg-3 control-label">ICD9版本:</label>
			<div class="col-lg-9">
				<div class="btn-group select" id="updateICD9TypeID"></div>
	    		<input type="text" id="updateICD9TypeID_"  name="icd9Version"  style="visibility: hidden;width:0;"/>
			</div>
		</div>
		<div class="form-group">
			<label class="col-lg-3 control-label">ICD10版本:</label>
			<div class="col-lg-9">
				<div class="btn-group select" id="updateICD10TypeID"></div>
				<input type="text" id="updateICD10TypeID_"  name="icd10Version"  style="visibility: hidden;width:0;"/>
			</div>
		</div>
		<div class="form-group">
			<label class="col-lg-3 control-label">地区编码:</label>
			<div class="col-lg-9">
				<input name="regionCode" style="display:inline; width:80%;" class="form-control"  type="text"  id="regionCodeIDUpdate" />
			</div>
		</div>
		
	</form>
	<script type="text/javascript">
	    var selectItems = {};
	</script>
	</body>
	</html>